| Poe Psychiatry Pc | |
|
234 N Schwartz Ave Farmington NM 87401 | |
| (505) 427-0401 | |
| (505) 787-2174 |
| Full Name | Poe Psychiatry Pc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 234 N Schwartz Ave, Farmington, New Mexico |
| Authorized Official Name and Position | Cathy B Poe (CEO / OWNER) |
| Authorized Official Contact | 5054270401 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Poe Psychiatry Pc 234 N Schwartz Ave Farmington NM 87401-5547 Ph: (505) 427-0401 | Poe Psychiatry Pc 234 N Schwartz Ave Farmington NM 87401 Ph: (505) 427-0401 |
| NPI Number | 1558891184 |
|---|---|
| Provider Enumeration Date | 06/15/2017 |
| Last Update Date | 06/20/2018 |
| Medicare PECOS PAC ID | 9931460037 |
|---|---|
| Medicare Enrollment ID | O20180307000256 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558891184 | NPI | - | NPPES |
| 81905301 | Medicaid | NM |
| Provider Name | Cathy B Poe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912166844 PECOS PAC ID: 6608009535 Enrollment ID: I20140430001578 |
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